Basic needs navigation intervention to address multidimensional adversity in African Americans with diabetic kidney...

科学分野:

• Nephrology
• Public Health
• Health Disparities

背景:

• Diabetic kidney disease (DKD) disproportionately affects African Americans, leading to end-stage kidney disease (ESKD).
• Social adversities complicate DKD self-management and worsen health outcomes.
• Patient navigation interventions show promise for chronic disease management.

研究 の 目的:

• To test the feasibility of a basic needs navigation intervention for African American adults with DKD and social adversity.
• To evaluate the intervention's impact on clinical and patient-centered outcomes.
• To gather data for a larger, powered randomized clinical trial.

主な方法:

• A 3-year, two-arm pilot randomized clinical trial.
• Recruitment of 50 African American adults with DKD and uncontrolled diabetes (HbA1c ≥ 8%).
• Intervention arm: basic needs navigation, patient education, and lifestyle coaching
• Control arm: enhanced usual care.

主要な成果:

• Primary outcome is the feasibility of the basic needs navigation intervention, measured by recruitment, attendance, and retention rates.
• Data will inform the design of a large-scale, appropriately powered randomized clinical trial.
• This study addresses a critical gap in understanding how to manage DKD in vulnerable populations.

結論:

• This pilot trial provides essential feasibility data for a novel intervention.
• Findings will guide future research on addressing social adversity in African American adults with DKD.
• The study is a crucial first step toward improving health outcomes for this high-risk population.